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A 40 year old man who is alcoholic is admitted to hospital with acute pancreatitis. He is now having vomiting and feels dizzy while standing. On examination, the patient has severe epigastric tenderness in the right upper quadrant and decreased bowel sounds. Bluish discolouration is seen around the umbilicus. What is the significance of this finding?
A CT of the abdomen is likely to show severe necrotizing pancreatitis.
Abdominal plain film is likely to show pancreatic calcification.
Concomitant appendicitis should be ruled out.
He likely has a pancreatico-aoic fistula.
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